Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeremy James Neuner

Individual provider Family Nurse Practitioner · NPI 1205945250

Jeremy James Neuner is a Nurse Practitioner in Rialto, California. Qualified in 2012, 14 years ago. Practices with Icco LLC, a 133-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
14
Licensed in
CA
In the registry since
2006
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Practice location Address checks out

1851 N Riverside Ave
Rialto, CA 92376-8069
Phone: (909) 421-2700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 21908 (CA)

Record details

NPI number1205945250
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 30, 2006
Last updated in NPPESNovember 15, 2016
Mailing addressPo Box 12209, San Bernardino, CA 92423-2209

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Icco Llc — 133 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Rialto